Pediatricians' Self-Reported Knowledge, Attitudes, and Practices about Child Passenger Safety

Objective To evaluate pediatricians' self-reported knowledge, attitudes, and dissemination practices regarding the new American Academy of Pediatrics' (AAP) child passenger safety (CPS) policy recommendations. Study design A cross-sectional survey was distributed to pediatric primary care...

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Veröffentlicht in:The Journal of pediatrics 2014-11, Vol.165 (5), p.1040-1045.e2
Hauptverfasser: Zonfrillo, Mark R., MD, MSCE, Sauber-Schatz, Erin K., PhD, MPH, Hoffman, Benjamin D., MD, Durbin, Dennis R., MD, MSCE
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container_end_page 1045.e2
container_issue 5
container_start_page 1040
container_title The Journal of pediatrics
container_volume 165
creator Zonfrillo, Mark R., MD, MSCE
Sauber-Schatz, Erin K., PhD, MPH
Hoffman, Benjamin D., MD
Durbin, Dennis R., MD, MSCE
description Objective To evaluate pediatricians' self-reported knowledge, attitudes, and dissemination practices regarding the new American Academy of Pediatrics' (AAP) child passenger safety (CPS) policy recommendations. Study design A cross-sectional survey was distributed to pediatric primary care physicians via AAP e-mail distribution lists. Knowledge, attitudes, and practices related to current AAP CPS recommendations and the revised policy statement were ascertained. Results There were 718 respondents from 3497 physicians with active e-mail addresses, resulting in a 20.5% response rate, of which 533 were eligible based on the initial survey question. All 6 CPS knowledge and scenario-based items were answered correctly by 52.9% of the sample; these respondents were identified as the “high knowledge” group. Pediatricians with high knowledge were more likely to be female ( P  
doi_str_mv 10.1016/j.jpeds.2014.07.041
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Study design A cross-sectional survey was distributed to pediatric primary care physicians via AAP e-mail distribution lists. Knowledge, attitudes, and practices related to current AAP CPS recommendations and the revised policy statement were ascertained. Results There were 718 respondents from 3497 physicians with active e-mail addresses, resulting in a 20.5% response rate, of which 533 were eligible based on the initial survey question. All 6 CPS knowledge and scenario-based items were answered correctly by 52.9% of the sample; these respondents were identified as the “high knowledge” group. Pediatricians with high knowledge were more likely to be female ( P  &lt; .001), to have completed a pediatrics residency (vs medicine-pediatrics) ( P  = .03), and have a child between 4 and 7 years of age ( P  = .001). CPS information was distributed more frequently at routine health visits for patients 0-2 years of age vs those 4-12 years of age. Those with high knowledge were less likely to report several specific barriers to dissemination of CPS information, more likely to allot adequate time and discuss CPS with parents, and had greater confidence for topics related to all CPS topics. Conclusions Although CPS knowledge is generally high among respondents, gaps in knowledge still exist. Knowledge is associated with attitudes, practices, barriers, and facilitators of CPS guideline dissemination. These results identify opportunities to increase knowledge and implement strategies to routinely disseminate CPS information in the primary care setting.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2014.07.041</identifier><identifier>PMID: 25195160</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Child ; Child Restraint Systems ; Child, Preschool ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Infant ; Male ; Pediatrics ; Physicians, Primary Care - statistics &amp; numerical data ; Self Report ; United States</subject><ispartof>The Journal of pediatrics, 2014-11, Vol.165 (5), p.1040-1045.e2</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-a802fc78a6d1eb4b419c9471438b26f6a1bb371e7a179abcc34bc9aa9d7fcaf63</citedby><cites>FETCH-LOGICAL-c584t-a802fc78a6d1eb4b419c9471438b26f6a1bb371e7a179abcc34bc9aa9d7fcaf63</cites><orcidid>0000-0002-0610-9563</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347614006891$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25195160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zonfrillo, Mark R., MD, MSCE</creatorcontrib><creatorcontrib>Sauber-Schatz, Erin K., PhD, MPH</creatorcontrib><creatorcontrib>Hoffman, Benjamin D., MD</creatorcontrib><creatorcontrib>Durbin, Dennis R., MD, MSCE</creatorcontrib><title>Pediatricians' Self-Reported Knowledge, Attitudes, and Practices about Child Passenger Safety</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To evaluate pediatricians' self-reported knowledge, attitudes, and dissemination practices regarding the new American Academy of Pediatrics' (AAP) child passenger safety (CPS) policy recommendations. Study design A cross-sectional survey was distributed to pediatric primary care physicians via AAP e-mail distribution lists. Knowledge, attitudes, and practices related to current AAP CPS recommendations and the revised policy statement were ascertained. Results There were 718 respondents from 3497 physicians with active e-mail addresses, resulting in a 20.5% response rate, of which 533 were eligible based on the initial survey question. All 6 CPS knowledge and scenario-based items were answered correctly by 52.9% of the sample; these respondents were identified as the “high knowledge” group. Pediatricians with high knowledge were more likely to be female ( P  &lt; .001), to have completed a pediatrics residency (vs medicine-pediatrics) ( P  = .03), and have a child between 4 and 7 years of age ( P  = .001). CPS information was distributed more frequently at routine health visits for patients 0-2 years of age vs those 4-12 years of age. Those with high knowledge were less likely to report several specific barriers to dissemination of CPS information, more likely to allot adequate time and discuss CPS with parents, and had greater confidence for topics related to all CPS topics. Conclusions Although CPS knowledge is generally high among respondents, gaps in knowledge still exist. Knowledge is associated with attitudes, practices, barriers, and facilitators of CPS guideline dissemination. These results identify opportunities to increase knowledge and implement strategies to routinely disseminate CPS information in the primary care setting.</description><subject>Child</subject><subject>Child Restraint Systems</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Physicians, Primary Care - statistics &amp; numerical data</subject><subject>Self Report</subject><subject>United States</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk9v1DAQxSMEokvhEyCh3ODQBE_sxPGBStWKf6ISFQtHZE3sydZLNllsp2i_PV62VMCFkyX7vTcj_16WPQVWAoPm5abc7MiGsmIgSiZLJuBetgCmZNG0nN_PFoxVVcGFbE6yRyFsGGNKMPYwO6lqUDU0bJF9vSLrMHpnHI7heb6ioS8-0W7ykWz-YZx-DGTXdJZfxOjibCmc5Tja_Mqjic5QyLGb5pgvr92QbjEEGtfk8xX2FPePswc9DoGe3J6n2Zc3rz8v3xWXH9--X15cFqZuRSywZVVvZIuNBepEJ0AZJSQI3nZV0zcIXcclkESQCjtjuOiMQlRW9gb7hp9m58fc3dxtyRoao8dB77zbot_rCZ3--2V013o93WhR1bzmbQp4cRvgp-8zhai3LhgaBhxpmoOGplJKAgeepPwoNX4KwVN_NwaYPoDRG_0LjD6A0UzqBCa5nv254Z3nN4kkeHUUUPqnG0deB-NoNAmPJxO1ndx_Bpz_4zeDG53B4RvtKWym2Y8JgQYdKs306tCNQzUgNaJpFfCfqs628g</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Zonfrillo, Mark R., MD, MSCE</creator><creator>Sauber-Schatz, Erin K., PhD, MPH</creator><creator>Hoffman, Benjamin D., MD</creator><creator>Durbin, Dennis R., MD, MSCE</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0610-9563</orcidid></search><sort><creationdate>20141101</creationdate><title>Pediatricians' Self-Reported Knowledge, Attitudes, and Practices about Child Passenger Safety</title><author>Zonfrillo, Mark R., MD, MSCE ; Sauber-Schatz, Erin K., PhD, MPH ; Hoffman, Benjamin D., MD ; Durbin, Dennis R., MD, MSCE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-a802fc78a6d1eb4b419c9471438b26f6a1bb371e7a179abcc34bc9aa9d7fcaf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Child</topic><topic>Child Restraint Systems</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Physicians, Primary Care - statistics &amp; numerical data</topic><topic>Self Report</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zonfrillo, Mark R., MD, MSCE</creatorcontrib><creatorcontrib>Sauber-Schatz, Erin K., PhD, MPH</creatorcontrib><creatorcontrib>Hoffman, Benjamin D., MD</creatorcontrib><creatorcontrib>Durbin, Dennis R., MD, MSCE</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zonfrillo, Mark R., MD, MSCE</au><au>Sauber-Schatz, Erin K., PhD, MPH</au><au>Hoffman, Benjamin D., MD</au><au>Durbin, Dennis R., MD, MSCE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatricians' Self-Reported Knowledge, Attitudes, and Practices about Child Passenger Safety</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>165</volume><issue>5</issue><spage>1040</spage><epage>1045.e2</epage><pages>1040-1045.e2</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To evaluate pediatricians' self-reported knowledge, attitudes, and dissemination practices regarding the new American Academy of Pediatrics' (AAP) child passenger safety (CPS) policy recommendations. Study design A cross-sectional survey was distributed to pediatric primary care physicians via AAP e-mail distribution lists. Knowledge, attitudes, and practices related to current AAP CPS recommendations and the revised policy statement were ascertained. Results There were 718 respondents from 3497 physicians with active e-mail addresses, resulting in a 20.5% response rate, of which 533 were eligible based on the initial survey question. All 6 CPS knowledge and scenario-based items were answered correctly by 52.9% of the sample; these respondents were identified as the “high knowledge” group. Pediatricians with high knowledge were more likely to be female ( P  &lt; .001), to have completed a pediatrics residency (vs medicine-pediatrics) ( P  = .03), and have a child between 4 and 7 years of age ( P  = .001). CPS information was distributed more frequently at routine health visits for patients 0-2 years of age vs those 4-12 years of age. Those with high knowledge were less likely to report several specific barriers to dissemination of CPS information, more likely to allot adequate time and discuss CPS with parents, and had greater confidence for topics related to all CPS topics. Conclusions Although CPS knowledge is generally high among respondents, gaps in knowledge still exist. Knowledge is associated with attitudes, practices, barriers, and facilitators of CPS guideline dissemination. These results identify opportunities to increase knowledge and implement strategies to routinely disseminate CPS information in the primary care setting.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25195160</pmid><doi>10.1016/j.jpeds.2014.07.041</doi><orcidid>https://orcid.org/0000-0002-0610-9563</orcidid><oa>free_for_read</oa></addata></record>
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subjects Child
Child Restraint Systems
Child, Preschool
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Male
Pediatrics
Physicians, Primary Care - statistics & numerical data
Self Report
United States
title Pediatricians' Self-Reported Knowledge, Attitudes, and Practices about Child Passenger Safety
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